HomeMy WebLinkAboutGelco Services, Inc.AGREEMENT
THIS AGREEMENT made this 17th day of April in the year 2003, by and between the Town of Los Altos Hills, a general law
city, organized and existing in the County of Santa Clara, (TOWN), and Gelco Services, Inc, address at 1705 Salem Industrial
Drive, Salem, OR 97303 (CONTRACTOR).
RECITALS:
(a) The TOWN has taken appropriate proceedings to authorize construction of the public work and
improvements or other matters herein provided, and execution of this contract.
(b) A notice was duly published for bids for the contract for the improvements hereinafter described.
(c) After notice duly given, on the date hereof, the TOWN awarded the contract for the construction of the
improvements hereinafter described to the CONTRACTOR.
The TOWN and the CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows:
ARTICLE 1 - THE WORK
The CONTRACTOR shall complete the Work as specified or indicated under the Bid Schedule(s) of the TOWN's Contract
Documents entitled:
O'Keefe Storm Drain Repair Project
The Work is generally described as follows:
Install cure -in-place pipe lining inside 350 feet of 12 -inch diameter storm drain per plan and as described in these provisions,
ARTICLE 2 - COMMENCEMENT AND COMPLETION
The Work to be performed under this Contract shall commence on the date specified in the Notice to Proceed by the TOWN and
the Work shall be fully completed within the time specified in the Notice to Proceed.
The TOWN and the CONTRACTOR recognize that time is of the essence of this Agreement and that the TOWN will suffer
financial loss if the Work is not completed within the time specified in Article 2, herein, plus any extensions thereof allowed in
accordance with Article 8-1.07 of the Standard Specifications. They also recognize the delays, expense, and difficulties involved
in proving in a legal preceding the actual loss suffered by the TOWN if the Work is not completed on time. Accordingly, instead
of requiring any such proof, the TOWN and the CONTRACTOR agree that as liquidated damages or delay (but not as a penalty)
the CONTRACTOR shall pay the TOWN the sum of $250.00 for each and every calendar day that expires after the time
specified in Article 2, herein.
ARTICLE 3 - CONTRACT PRICE
The TOWN shall pay, the CONTRACTOR shall accept, for the completion of the Work in accordance with the Contract
Documents in current funds, subject to additions and deductions by Change Order as provided in the Contract Documents, the
Contract Price(s) named in the CONTRACTOR's accepted Bid and Bid Schedule(s).
ARTICLE 4 - THE CONTRACT DOCUMENTS
The Contract Documents consist of: Notice Inviting Bids, the prevailing rate of per diem wages as determined by the Director of
the California Department of Industrial Relations (by reference), the accepted Bid and Bid Schedule, List of Subcontractors, Non -
Collusion Affidavit, Bidder's General Information, Bid Security or Bid Bond, this Agreement, Worker's Compensation
Certificate, Performance Bond, Payment Bond, Standard Specifications, Special Provisions, the Plans, inclusive, Caltrans
Standard Specifications dated 1992, and all Change Orders, and Work Change Directives which may be delivered or issued after
the Effective Date of the Agreement and are not attached hereto.
All rights and obligations of the TOWN and the CONTRACTOR are fully set forth and described in the Contract Documents.
AGREEMENT FORM
O'Keefe Storm Drain Repair -Page 1
All of the above-named documents are intended to cooperate, so that any work called for in one, and not mentioned in the other,
or vice versa, is to be executed the same as if mentioned in all said documents. The documents comprising the complete contract
will hereinafter be referred to as "the Contract Documents." Any inconsistencies or conflicts between the provisions of this
Agreement and any other provisions, in whole or in part of the other Contract Documents, the provisions of this Agreement shall
prevail. The precedence of the remaining Contract Documents will be as specified in the Contract Book.
ARTICLE 5 - PAYMENT PROCEDURES
The CONTRACTOR shall submit Applications for Payment in accordance with Section 9 of the Standard Specifications as
amended by the Special Provisions. Applications for Payment will be processed by the Engineer or the TOWN as provided in the
Contract Documents.
ARTICLE 6 — PERFORMANCE BY SURETIES
In the event of any termination as hereinbefore provided, TOWN shall immediately give written notice thereof to
CONTRACTOR and CONTRACTOR's sureties, and the sureties shall have the right to take over and perform the agreement,
provided, however, that if the sureties, within 5 days after giving them said notice of termination, do not give TOWN written
notice of their intention to take over the performance thereof within 5 days after notice to TOWN of such election, TOWN may
take over the work and prosecute the same to completion, by contract or by any other method it may deem advisable, for the
account, and at the expense of CONTRACTOR, and the sureties shall be liable to TOWN for any excess cost or damages
occasioned TOWN thereby; and, in such event, TOWN may, without liability for so doing, take possession of, and utilize in
completing the work, such materials, appliances, plant and other property belonging to CONTRACTOR as may be on the site of
the work and necessary therefore.
ARTICLE 7 — LEGAL WORK DAY AND PENALTIES FOR VIOLATION
Eight hours of labor shall constitute a legal day's work. CONTRACTOR shall not require more than 8 hours' labor in a day and
40 hours in a calendar week from any person employed by CONTRACTOR in the performance of such work unless such excess
work is compensated for at not less than 1-1/2 times the basic rate of pay. CONTRACTOR shall forfeit as a penalty to TOWN
the sum of $25.00 for each laborer, workman or mechanic employed in the execution of this contract by CONTRACTOR, or by
any subcontractor for each calendar day during which such laborer, workman or mechanic is required or permitted to labor more
than 8 hours in any calendar day and 40 hours in any one calendar week in violation of the provisions of Sections 1810 and 1816,
inclusive, of the Labor Code of the State of California.
ARTICLE 8 — PREVAILING WAGE SCALE
In general, the prevailing wage scale, as determined by the Director of Industrial Relations of the State of California, in force on
the day this bid was announced, will be the minimum paid to all craftsmen and laborers working on this project, In some cases,
prevailing wage determinations have either a single asterisk (*) or double asterisks (**) after the expiration date in effect on the
date of advertisement for bids.
In cases where the prevailing wage determinations have a single asterisk (*) after the expiration date which are in effect on the
date of advertisement for bids, such determinations remain in effect for the life of the project. Prevailing wage determinations
which have double asterisks (**) after the expiration date indicate that the basic hourly wage rate, overtime, and holiday pay
rates, and employer payments to be paid for work performed after this date have been predetermined. If work is extended past
this date, the new rate must be paid and should be incorporated in contracts the CONTRACTOR enters into.
A copy of the correct determination will be posted at the job site. It is understood that it is the responsibility of the bidder to
determine the correct scale. The TOWN will keep a copy of the wage scale in the City Clerk's office for the convenience of
bidders. Any errors or defects in the materials in the City Clerk's office will not excuse a bidder's failure to comply with the
actual scale then in force.
ARTICLE 9 — INSURANCE
The Contractor shall provide and maintain:
AGREEMENT FORM
O'Keefe Storm Drain Repair -Page 2
A. Commercial General Liability Insurance, occurrence form, with a limit of not less than $1,000,000 each
occurrence. If such insurance contains a general aggregate limit, it shall apply separately to this Agreement
or be no less than two (2) times the occurrence limit.
B. Automobile Liability Insurance, occurrence form, with a limit of not less than $1,000,000 each occurrence.
Such insurance shall include coverage for owned, hired, and non -owned automobiles.
C. Workers Compensation in at least the minimum statutory limits,
D. General Provisions for all insurance. All insurance shall:
i. Include the Town of Los Altos Hills, its elected and appointed officers, employees, and volunteers
as additional insureds with respect to this Agreement and the performance of services in this
Agreement. The coverage shall contain no special limitations on the scope of its protection to the
above -designated insureds.
ii. Be primary with respect to any insurance or self-insurance programs of TOWN, its officers,
employees, and volunteers.
iii. Be evidenced, prior to commencement of services, by properly executed policy endorsements in
addition to a certificate of insurance.
iv. No changes in insurance may be made without the written approval of the City Attorney's office.
ARTICLE 10 — HOLD HARMLESS AND INDEMNITY PROVISION
CONTRACTOR agrees (1) to hold harmless and indemnify Town of Los Altos Hills and its officers and employees from and
against any and all claims, loss, liability, damage, and expense arising from performance of this contract, including claims, loss,
liability, damage, and expense caused or claimed to be caused by passive negligence of Town of Los Altos Hills, its officers or
employees, and (2) to defend Town of Los Altos Hills, its officers or employees thereagainst; provided, however that this
provision does not apply to claims, loss, liability, damage or expense arising from (a) the sole negligence or willful misconduct of
Town of Los Altos Hills or (b) the active negligence of Town of Los Altos Hills; further provided, that this provision shall not
affect the validity of any insurance contract, workers compensation or agreement issued by an admitted insurer as defined by the
Insurance Code.
ARTICLE 11— MEDIATION
Should any dispute arise out of this Agreement, any party may request that it be submitted to mediation. The parties shall meet in
mediation within 30 days of a request. The mediator shall be agreed to by the mediating parties; in the absence of an agreement,
the parties shall each submit one name from mediators listed by either the American Arbitration Association, the California State
Board of Mediation and Conciliation, or other agreed-upon service. The mediator shall be selected by a "blindfolded" process.
The cost of mediation shall be borne equally by the parties. Neither party shall be deemed the prevailing party. No party shall be
permitted to file a legal action without first meeting in mediation and making a good faith attempt to reach a mediated settlement.
The mediation process, once commenced by a meeting with the mediator, shall last until agreement is reached by the parties but
not more than 60 days, unless the maximum time is extended by the parties.
ARTICLE 12 — ARBITRATION
After mediation above, and upon agreement of the parties, any dispute arising out of or relating to this agreement may be settled
by arbitration in accordance with the Construction Industry Rules of the American Arbitration Association, and judgment upon
the award rendered by the arbitrators may be entered in any court having jurisdiction thereof. The costs of arbitration shall be
borne equally by the parties.
ARTICLE 13 — PROVISIONS CUMULATIVE
The provisions of this agreement are cumulative, and in addition to and not in limitation of, any other rights or remedies available
to TOWN.
ARTICLE 14 - NOTICES
AGREEMENT FORM
O'Keefe Storm Drain Repair -Page 3
Whenever any provision of the Contract Documents requires the giving of written notice, it shall be given in personal delivery,
Federal Express, or other reputable private courier service, by facsimile transmission with verification of receipt, or by U,S. Mail,
postage prepaid, and shall be deemed communicated (i) if by personal delivery or by facsimile upon receipt, (ii) if by courier
service one -day after properly sent, or (iii) by U.S. Mail, three days after deposit with the U.S, Mail service. Notices shall be
addressed as set forth below, but either party may change its address by giving written notice thereof to the other in accordance
with this Article.
TO TOWN: Public Works Department
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022
FAX (650) 941-3160
TO CONTRACTOR: Kelly Odell, VP/GM
Gelco Services, Inc.
1705 Salem Industrial Drive
Salem, OR 97303
ARTICLE 15 - INTERPRETATION
As used herein any gender includes each other gender, the singular includes the plural and vice versa.
ARTICLE 16 - MISCELLANEOUS
Terms used in this Agreement which are defined in Section 1 of the Standard Specifications and the Special Provisions will have
the meanings indicated in said Standard Specifications and Special Provisions. No assignment by a party hereto of any rights
under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party
sought to be bound; and specifically but without limitation monies that may become due and monies that are due may not be
assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless
specifically stated to the contrary in any written consent to an assignment no assignment will release or discharge the assignor
from any duty or responsibility under the Contract Documents.
The TOWN and the CONTRACTOR each binds itself, its partners, successors, assigns, and legal representatives to the other
party hereto, its partners, successors, assigns, and legal representatives in respect of all covenants, agreements, and obligations
contained in the Contract Documents.
IN WITNESS WHEREOF, the TOWN and the CONTRACTOR have caused this Agreement to be executed the day and year
first above written.
TOWN O S ALTOS HI LS, CALIFORNIA
By
City C erk
APPROVED AS TO FORM
By
City Attorney
By 'A" 2
City Engineer/Public Wort irector
Date
By
City Manager
APPROVED BY THE CITY COUNCIL
Resolution No. Date
CONTRACTOR _�-Q aeu�c� �-
By
Title
Date D
AGREEMENT FORM
O'Keefe Storm Drain Repair -Page 4
Whenever any provision of the Contract Documents requires the giving of written notice, it shall be given in personal delivery,
Federal Express, or other reputable private courier service, by facsimile transmission with verification of receipt, or by U.S. Mail,
postage prepaid, and shall be deemed communicated (i) if by personal delivery or by facsimile upon receipt, (ii) if by courier
service one -day after properly sent, or (iii) by U.S. Mail, three days after deposit with the U.S. Mail service. Notices shall be
addressed as set forth below, but either party may change its address by giving written notice thereof to the other in accordance
with this Article.
TO TOWN: Public Works Department
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022
FAX (650) 941-3160
TO CONTRACTOR: Kelly Odell, VP/GM
Gelco Services, Inc.
1705 Salem Industrial Drive
Salem, OR 97303
ARTICLE 15 - INTERPRETATION
As used herein any gender includes each other gender, the singular includes the plural and vice versa.
ARTICLE 16 - MISCELLANEOUS
Terms used in this Agreement which are defined in Section 1 of the Standard Specifications and the Special Provisions will have
the meanings indicated in said Standard Specifications and Special Provisions. No assignment by a party hereto of any rights
under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party
sought to be bound; and specifically but without limitation monies that may become due and monies that are due may not be
assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless
specifically stated to the contrary in any written consent to an assignment no assignment will release or discharge the assignor
from any duty or responsibility under the Contract Documents.
The TOWN and the CONTRACTOR each binds itself, its partners, successors, assigns, and legal representatives to the other
party hereto, its partners, successors, assigns, and legal representatives in respect of all covenants, agreements, and obligations
contained in the Contract Documents.
IN WITNESS WHEREOF, the TOWN and the CONTRACTOR have caused this Agreement to be executed the day and year
first above written. _
TOWN
By
APPR(
By
By
Date
City Engineer/Public Works Director
By
APPROVED BY THE CITY COUNCIL
Resolution No. Date
CONTRACTOR
By
Title
Date
AGREEMENT FORM
O'Keefe Storm Drain Repair -Page 4
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Project Site
- Existing
12" Storm
Drain
Exhibit ,5
Location Map
O'Keefe Storm Drain Repair
Town of Los Altos Hills
Bond No. 400SV4959-
KNOW ALL MEN BY THESE PRESENTS,
That Gelco Services, Inc. as Contractor,
And St. Paul Fire and Marine Insurance Company as Surety,
are held firmly bound unto the City of the Town of Los Altos Hills, a general law city, organized and existing in the
County of Santa Clara, California, hereinafter called the "Town," in the sum of.
Forty Two Thousand and I'd, dirl, 11 Id, ,111;;x;;
($42,000,00) :� �,.��-;;�:,;;; ;-:��: ;; ;;:;�:;: ;:;: �,;;;��, ;-;r;;; ;; ;;; :;
lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our
heirs, executors, administrators, successors, and assigns, jointly and:severally, firmly by these presents.
WHEREAS said Contractor has been awarded and is about to enter into the attached Agreement with said Town to
perform the Work as specified or indicated in the Contract Documents entitled:
O'Keefe Storm gain Repair Project
WHEREAS the Town requires the Contractor to furnish a performance bond during the Contract and, for a period of
one year from and after the completion date of this project, to guarantee the correction and repair of any defective
materials and/or workmanship used in or on said Project, _.
NOW THEREFORE, if said Contractor shall perform all the requirements of said Contract Documents required to
be performed on its part, at the times and in the manner specified herein, and if one year from the completion date
has elapsed with no demand from the Town to correct or repair any defective materials and/or workmanship used in
or on the Project, then this obligation shall be null and void. Otherwise it shall remain in full force and effect.
PROVIDED, that any alterations zn the Work to be done or the materials to be furnished, or changes in the time of
completion, which may be made pursuant to the terms of said Contract Documents, shall not in any way release said
Contractor or said Surety thereunder, nor shall any extensions of time granted under the provisions of said Contract
Documents, release either said Contractor or. said Surety, and notice of such alterations or extensions of the
Agreement is hereby waived by said Surety. Said surety hereby waives the provisions of Sections 2819 and 2845 of
the California Civil Code.
SIGNED AND SEALED, this 17th day of April 2003.
Contractor Ge co Services, Inc. Surety St. Paul Fire and Marine Insurance
Company
By ��' By /��-/�-/L/ as • i'
Marsha S. Petrie
Title %` Title Attorney -In -Fact
(SEAL AND NOTARIAL ACKNOWLEDGMENT OF SURETY)
PERFORMANCE BOND
AGREEMENT AND BONDS - PAGE 6
to)
PAYl ENT B®lD
Bond No. 400SV4959
KNOW ALL MEN BY THESE PRESENTS,
That St. Paul Fire and Marine Insurance Company as Surety,
\`r
are held firmly bound unto the City of the Town of Los Altos Hills,: a general law city, organized and existing in the
County of Santa Clara, State of California, hereinafter called the "Town," in the sum of:.
Forty Two Thousand and
i7ivivnn�ii.n wnnw in nn nn v.nn ninnicvi7n +.i .
($42,000.00) ;�;;,_,_,,_,.._,..,_,_,_,_,_,..,_,..,_,..,_,..,_,.., ,.., ,..,_�_,_,_,_,_,_,.., , ,_,:.,:., ,_,..._,.., ,.., ...,_,..��_..:.,..,_, ,_,_,.
�ndiv�ivvv�nnnn n��nniv�nni7�iQ�iv�nn n��nniQv. n�hv�n,vQ�.7�i�iv�.�nn nihv�.� dollars,
lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our
heirs, executors, administrators; successors, and assigns, jointly and severally, firmly by these presents.
WHEREAS, said Contractor has been awarded and is about to enter into the attached agreement with said Town to
perform the Work as specified or indicated in the Contract Documents entitled:
O'Keefe Storm Drain Repair Project
NOW THEREFORE, if said Contractor, its subcontractors, its heirs, executors, administrators, successors, or assigns
shall fail to pay for any materials, provisions, provender, equipment or other supplies used in, upon, for or about the
performance of the Work contracted to be done, or for any work or labor thereon of any kind, or for amounts due
under the Unemployment Insurance Code, or for any amounts required to be deducted, withheld, and paid over to the
Employment Development Department from the wages of employees of the Contractor and its subcontractors
pursuant to Section 13020 of the Unemployment Insurance Code with respect to such labor, all, as required by the
provisions of Title XV, Chapter 7, Sections 3247-3252, inclusive, of the Civil Code of the State of California and
acts amendatory thereof, and sections of other codes of the State of California referred to therein and acts
amendatory thereof, and provided that the persons, companies, or corporations so furnishing said materials,
provisions, equipment or other supplies, appliances or power used in, upon, for or about performance of the work
contracted to be executed or performed, or any person, company or corporation renting or hiring implements or
machinery or power for or contributing to said work to be done, or any person who performs work or labor upon the
same, or any person who supplies both- work and materials therefor, shall have complied with the provisions of said
laws, then said surety will pay the same in an amount not exceeding the sum hereinbefore set forth and also will pay,
in case suit is brought upon this bond, a reasonable attorney's fee, as shall be fixed by the Court. This .bond shall
inure to the benefit of any and all persons named in Section 3181 of the Civil Code of the State of California so as to
give a right of action to them or their assigns in any suit brought upon this bond.
PROVIDED, that any alterations in the Work to be done or the materials to be furnished, or changes in the time of
completion, which may be made pursuant to the terms of said Contract Documents, shall not in any way release said
Contractor or said Surety thereunder, nor shall any extensions of time granted under the provisions of said Contract
Documents release either said Contractor or said surety, and notice of said alterations or extensions of the Agreement
is hereby waived by said Surety. Surety hereby waives the provisions of Sections 2819 and 2845 of the California
Civil Code.
SIGNED AND SEALED, this 17th day of April 2003.
Contractor Ge co Services Inc. Surety St. Paul Fire and Marine Insurance
Company
By _ By
Marsha S. Petrie
Title W(7"" " Title Attorney -In -Fact
(SEAL AND NOTARIAL ACKNOWLEDGMENT OF SURETY)
PAYMENT BOND
AGREEMENT AND BONDS - PAGE 7
ty,gy��i ��t,��,y St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
aa��ll Ph! 11 St. Paul Guardian Insurance Company Fidelity and Guaranty Insurance Company
St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc.
Seaboard Surety Company St. Paul Medical Liability Insurance Company
Bond No. 400SV4959
RIDER CONTAINING
DISCLOSURE NOTICE OF TERRORISM COVERAGE
This disclosure notice is required by the Terrorism Risk Insurance Act of 2002 (the
"Act"). No action is required on your part. This Disclosure Notice is incorporated in
and a part of the attached bond, and is effective the date of the bond.
You should know that, effective November 26, 2002, any losses covered by the
attached bond that are caused by certified acts of terrorism would be partially
reimbursed by the United States under a formula established by the Act. Under this
formula, the United States reimburses 90% of covered terrorism losses exceeding
the statutorily established deductible paid by the insurance company providing the
coverage.
Under the Act, there is a cap on our liability to pay for covered terrorism losses if the
aggregate amount of insured losses under the Act exceeds $100,000,000,000 during
the applicable period for all insureds and all insurers combined. In that case, we will
not be liable for the payment of any amount which exceeds that aggregate amount of
$100,000,000,000.
The portion of your premium that is attributable to coverage for acts of terrorism is
0.00.
IMPORTANT NOTE: THE COST OF TERRORISM COVERAGE IS SUBJECT TO
CHANGE ON ANY BONDS THAT PREMIUM IS CHARGED ANNUALLY.
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4
Power of Attorney No.
POWER OF ATTORNEY
Seaboard Surety Company
St. Paul Fire and Marine Insurance Company
St. Paul Guardian Insurance Company
St. Paul Mercury Insurance Company
23172
United States Fidelity and Guaranty Company
Fidelity and Guaranty Insurance Company
Fidelity and Guaranty Insurance Underwriters, Inc.
Certificate No. 1612045
KNOW ALL MEN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York, and that
St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under
the laws of the State of Minnesota, and that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland, and
that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters,
Inc, is a corporation duly organized tinder the laws of the State of Wisconsin (herein collectively called the "Companies'), and that the Companies do hereby make,
constitute and appoint
Edward E. Davis, Bonnie I Webb, Claudya R. Black and Marsha S. Petrie
of the City of Salem State Oregon their true and lawful Attorney(s)-in-Fact,
each in their separate capacity if more than one is named above, to sign its name as surety to, and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the
performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and sealed this 16" day of December 2002
Seaboard Surety Company United States Fidelity and Guaranty Company
St, Paul Fire and Marine InsuranceCompanyFidelity and Guaranty Insurance Company
St. Paul Guardian Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc.
St. Paul Mercury Insurance Company
y J,, �.wn\�N •�xSU '}PJP+\NSVAy"a �}1YANp TY
f�:ooaeoaar `.int e3'�
W.
� iHcp�gnu 6 INCDAADRATED'�
o\SERLa N � a PETER CARMAN, Vice President
'��, # � ��,�. o� d;5EAG%o� ia•, '.�,/ �J 1896�pty is
OFNeN
State of Maryland
City of Baltimore THOMAS E. HUIBREGTSE, Assistant Secretary
On this . 16th day of December , ___2002_ , before me, the undersigned officer, personally appeared Peter W. Carman and
Thomas E. Huibregtse, who acknowledged themselves to be the Vice President and Assistant Secretary, respectively, of Seaboard Surety Company; St. Paul Fire and
Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, United States Fidelity and Guaranty Company, Fidelity and
Guaranty Insurance Company, and Fidelity and Guaranty Insurance Underwriters, Inc.; and that the seals affixed to the foregoing instrument are the corporate seals of
said Companies; and that they, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the names of the
corporations by themselves as duly authorized officers.
�O�GGp EAStFY'0y
In Witness Whereof, I hereunto set my hand and official seal. e Voj4Ry 0
U841C
My Commission expires the Ist day of July, 2006. yOAE eiTV
86203 Rev. 7-2002 Printed in U.S.A.
REBECCA EASLEY-ONOKALA, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Seaboard Surety Company, St. Paul
Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, United States Fidelity and Guaranty Company,
Fidelity and Guaranty Insurance Company, and Fidelity and Guaranty Insurance Underwriters, Inc, on September 2, 1998, which resolutions are now in full force and
effect, reading as follows;
RESOLVED, that in connection with the fidelity and surety insurance business of the Company, all bonds, undertakings, contracts and other instruments relating
to said business may be signed, executed, and acknowledged by persons or entities appointed as Attorney(s)-in-Fact pursuant to a Power of Attorney issued in
accordance with these resolutions. Said Power(s) of Attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the
Company, either by the Chairman, or the President, or any Vice President, or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary,
under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the foregoing officers and
the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Attorney(s)-in-Fact for purposes
only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and subject to any limitations set forth therein, any
such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company, and any such power so
executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to
which it is validly attached; and
RESOLVED FURTHER, that Attorney(s)-in-Fact shall have the power and authority, and, in any case, subject to the terms and limitations of the Power of
Attorney issued them, to execute and deliver on behalf of the Company and to attach the seal of the Company to any and all bonds and undertakings, and other
writings obligatory in the nature thereof, and any such instrument executed by such Attorney(s)-in-Fact shall be as binding upon the Company as if signed by an
Executive Officer and sealed and attested to by the Secretary of the Company.
I, Thomas E. Huibregtse, Assistant Secretary of Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company,
St. Paul Mercury Insurance Company, United States Fidelity and Guaranty Company, Fidelity and Guaranty Insurance Company, and Fidelity and Guaranty Insurance
Underwriters, Inc, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force
and effect and has not been revolted.
IN TESTIMONY WHEREOF, I hereunto set my hand this 17th day of April , 2003
� SGNi,fo s ;•ye
Thomas E. Huibro tse, Assistant Secretary
To verify the authenticity of this Power ofAttorney, call 1-800-421-3880 and ask for the Power ofAttorney clerk, Please refer to the Power afAttorney number, the
above-named individuals and the details of the bond to which the power is attached,
>', ,A CORD..
PRODUCER
INSURED
Acordia/Potts Davis & Co.
P. O. Box 390, Salem, OR 97308
503-585-7555
Gelco Services, Inc.
P.O. Box 17370
Salem OR 97305
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
COMPANY
B Maryland Casualty CO
POLICY EFFECTIVE
COMPANY
Acordia of Oros
C SAIF Corporation
II1SUra11C® A4
GARAGE LIABILITY
IUIIRa Imun I
COMPANY
D Evanston Insurance Co
A8f11rS Lie. N0.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Town of Los Altos Hills EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
26379 Fremont Road 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Los Altos Hills, CA 94022 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE OOLAtMY, ITS AGENTS OR REPRESENTATIVES.
gm
AUTHORIZED REPmfiNTATIVE A _w
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
LCO I TTR I
GARAGE LIABILITY
DATE (MM/DD/YY)
DATE (MM/DD/YY)
A
GENERAL
LIABILITY
CON58152258
6/01/02
6/01/03
GENERAL AGGREGATE S 2000000
PRODUCTS - COMP/OP AGG $ 2000000
X
COMMERCIAL GENERAL LIABILITY
AGGREGATE S
CLAIMS MADE lxl OCCUR
PERSONAL & ADV INJURY S 1000000
EXCESS LIABILITY
EACH OCCURRENCE $ 1000000
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE S
AGGREGATE S
FIRE DAMAGE (Any one fire) $ 300000
X
WA Stop
$
OTHER THAN UMBRELLA FORM
MED EXP (Any one person) $ 10000
Gap
WORKERS COMPENSATION AND
A522047
10/01 /02
B
AUTOMOBILE
LIABILITY
CON58152241
6/01/02
6/01/03
EL DISEASE - POLICY LIMIT $ 1000000
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
COMBINED SINGLE LIMIT $
X
ANY AUTO
1000000
BODILY INJURY $
OTHER
02CPLOO129
ALL OWNED AUTOS
6/01/03
Pollution
$1,000,000 Per Occurrence
(Per person)
SCHEDULED AUTOS
$1,000,000 General Aggregate
BODILY INJURY S
X
HIRED AUTOS
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Certificate holder and its employees, officers, agents & contractors
are named as additional insured as respects work performed on their
behalf by the named insured per CG 2010 attached - Coverage is primary,
non-rontributory - Per Project Aacireoate applies per CG2503 attached. Re: O'Keefe Storm Drain Repair Project
X
NON -OWNED AUTOS
(Per accident)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Town of Los Altos Hills EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
26379 Fremont Road 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Los Altos Hills, CA 94022 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE OOLAtMY, ITS AGENTS OR REPRESENTATIVES.
gm
AUTHORIZED REPmfiNTATIVE A _w
ri
PROPERTY DAMAGE $
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT S
........................................
........................................
........................................
........................................
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT $
AGGREGATE S
EXCESS LIABILITY
EACH OCCURRENCE S
AGGREGATE S
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
C
WORKERS COMPENSATION AND
A522047
10/01 /02
10/01 /03
WC STATU- 0TH :::': ; ::::::: .. ....::::
TORY LIMITS ER
EL EACH ACCIDENT - $ 1000000
EMPLOYERS' LIABILITY
EL DISEASE - POLICY LIMIT $ 1000000
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE - EA EMPLOYEE S 1000000
D
OTHER
02CPLOO129
6/01/02
6/01/03
Pollution
$1,000,000 Per Occurrence
Liability
$1,000,000 General Aggregate
$5,000 Deductible
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Certificate holder and its employees, officers, agents & contractors
are named as additional insured as respects work performed on their
behalf by the named insured per CG 2010 attached - Coverage is primary,
non-rontributory - Per Project Aacireoate applies per CG2503 attached. Re: O'Keefe Storm Drain Repair Project
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Town of Los Altos Hills EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
26379 Fremont Road 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Los Altos Hills, CA 94022 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE OOLAtMY, ITS AGENTS OR REPRESENTATIVES.
gm
AUTHORIZED REPmfiNTATIVE A _w
COMMERCIAL GENERAL LIABILITY
CG 20 10 03 97
POLICY NUMBER: CON58152258
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES, OR
CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization
Town of Los Altos Hills, CA and its employees, officers, agents
and contractors
(If no entry appears above, information required to complete this
endorsement will be shown in the Declarations as applicable to
this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured
the person or organization shown in the schedule, but only with
respect to liability arising out of your ongoing operations performed
for that insured.
CG 20 10 03 97 Copyright, ISO, Inc., 1996 Page 1 of 1